Clinical Evaluation of Coronally Advanced Flap along with Autologous Platelet-Rich Fibrin Membrane for Root Coverage of Isolated Gingival Recession (pp. 9-19)
Authors: Anju Gautam, Awadhesh Chandra Nagar, and Karuna Lodhi
Abstract: Aim: The aim of this study was to evaluate the clinical efficacy of autologous platelet rich fibrin membrane (PRF) along with coronally advanced flap (CAF) for root coverage of isolated gingival recession. Materials and Methods: Thirty isolated Miller class I or II gingival recession sites in 28 patients were randomly divided into control (CAF alone) and test (CAF+PRF) groups. The Clinical outcome was determined by clinical parameters such as gingival recession depth (GRD), probing pocket depth (PPD), clinical attachment level (CAL), width of keratinized gingiva (WKG), width of attached gingiva (WAG) and gingival thickness (GTH) at baseline, 1st, 3rd, and 6th month postoperatively. Results: Results from the present study indicated that both the groups, CAF+PRF and CAF demonstrated an overall significant improveŽment in all the clinical parameters assessed. However the result of this study found no statistically significant difference between the two groups except gain in gingival thickness. Conclusion: CAF alone is a predictable treatment for isolated gingival recession defects. The addition of PRF membrane with CAF provides better outcome in terms of root coverage, gain in CAL and gingival thickness (GTH).